Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GHN DENTAL

NPI: 1366839987 · KATY, TX 77494 · Dentist · NPI assigned 04/21/2015

$44K
Total Medicaid Paid
3,128
Total Claims
2,304
Beneficiaries
9
Codes Billed
2021-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialELAHI, HIFZA (DENTIST)
NPI Enumeration Date04/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 77 $1K
2022 876 $13K
2023 1,165 $15K
2024 1,010 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 1,102 362 $11K
D0120 Periodic oral evaluation - established patient 380 361 $10K
D1208 Topical application of fluoride, excluding varnish 479 462 $6K
D1110 Prophylaxis - adult 121 113 $6K
D0220 Intraoral - periapical first radiographic image 411 392 $5K
D1120 Prophylaxis - child 118 116 $4K
D0274 Bitewings - four radiographic images 54 52 $2K
D0603 325 311 $9.07
D0602 138 135 $9.00